KingdomSIS Intake Form
Funding Request For KingdomSIS Consulting
Name of Borrower
*
Mr.
Mrs.
Prefix
First Name
Middle Name
Last Name
Suffix
Primary Address of Borrower
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail of Borrower
*
example@example.com
Co-Borrower (Optional)
First Name
Last Name
Primary Address of Co-Borrower
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail of Co-Borrower
example@example.com
Best Phone Number
*
-
Area Code
Phone Number
Mobile Phone Number
*
-
Area Code
Phone Number
Fax Number If You Have One
-
Area Code
Phone Number
Date of Birth Primary Borrower
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Applying as
*
Sole Proprietor
Partnership
LLC
Corporation
Business Entity Name
*
If Sole Proprietor, Just Put Your Sole Proprietorship Name
Business Entity Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Property Address Or Planned Business Location
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Purpose Of Loan
*
Purchase
Fix & Flip
Buy & Hold
Multi Family
Office
Franchise Business Financing
Refinance
Rehab Financing
New Construction
Business Line Of Credit
Business Start Up
Equipment Financing
Merchant Cash Advance
Other
Requested Loan Amount To Borrower
*
Property Value
*
Rehab Cost
*
ARV (After Rehab Value)
*
Total Number Of Projects Renovated In Past 3 Years (On Title)
*
Total Number Rental properties Owned (On Title)
*
Credit Score
*
Have you previously been financed?
*
Yes
No
Lender Name, If Yes
*
Financing was for
*
Any Supported Documents
Upload a File
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The information provided in this application shall not be shared to anyone else and is kept confidential
I agree that the information herein are true and correct
Yes
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